# ST. AGNES ASSISTED LIVING HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144459637
- **Authorized official:** AGNES FRANCISCO (ADMINISTRATOR)
- **Authorized official phone:** (907) 884-2111

## Contact information

- **Practice address:** 7035 REDHAWK CIR, ANCHORAGE, AK 99507-5109
- **Practice address phone:** (907) 339-0485
- **Mailing address:** 7035 REDHAWK CIR, ANCHORAGE, AK 99507-5109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 100746 | AK | Yes |

## Other

- **Enumeration date:** 07/07/2009
- **Last updated:** 07/07/2009